| Entity Name: | PRESTIGE PRIMARY CARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 26 Sep 2018 (6 years ago) |
| Document Number: | L18000228531 |
| FEI/EIN Number | 83-2057466 |
| Address: | 1855 VETERANS PARK DRIVE, STE 304, NAPLES, FL, 34109, US |
| Mail Address: | 1855 VETERANS PARK DRIVE, STE 304, NAPLES, FL, 34109, US |
| ZIP code: | 34109 |
| County: | Collier |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1225505399 | 2018-10-26 | 2021-09-07 | 1855 VETERANS PARK DR STE 304, NAPLES, FL, 341090446, US | 1855 VETERANS PARK DR STE 304, NAPLES, FL, 341090446, US | |||||||||||||||
|
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| Phone | +1 239-676-0656 |
| Fax | 2395339735 |
Authorized person
| Name | MAHESHA THIMMARAYAPPA |
| Role | OWNER/PHYSICIAN |
| Phone | 2936760656 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| REGISTERED AGENTS LEGAL SERVICES, LLC | Agent |
| Name | Role | Address |
|---|---|---|
| THIMMARAYAPPA MAHESHA | Authorized Member | 9477 TERRESINA DRIVE, NAPLES, FL, 34119 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-10-20 | 1855 VETERANS PARK DRIVE, STE 304, NAPLES, FL 34109 | No data |
| CHANGE OF MAILING ADDRESS | 2021-10-20 | 1855 VETERANS PARK DRIVE, STE 304, NAPLES, FL 34109 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-25 |
| ANNUAL REPORT | 2023-01-20 |
| ANNUAL REPORT | 2022-02-04 |
| ANNUAL REPORT | 2021-01-04 |
| ANNUAL REPORT | 2020-02-13 |
| ANNUAL REPORT | 2019-01-28 |
| Florida Limited Liability | 2018-09-26 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
